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Altitude Sickness Treatments

Altitude Sickness Treatment

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Altitude Sickness

Altitude sickness, or acute mountain sickness (AMS), occurs at high elevations when the body doesn’t adjust to reduced oxygen levels. Severe cases can lead to fluid buildup in the lungs or brain, potentially fatal if untreated. Acetazolamide (Diamox) can be used to help prevent and reduce symptoms of altitude sickness.

Pricing

Acetazolamide 250mg (10 tablets): £9.95

Signs & Symptoms

  • Headache

  • Nausea

  • Fatigue

  • Dizziness

Hawne Chemist & Travel Clinic

General Contact & Travel Vaccination

Tel: 0121 501 3518

Bills Pharmacy & Travel Clinic

General Contact & Travel Vaccination

Tel: 01384 872117

Millard and Bullock Chemist & Travel Clinic

General Contact & Travel Vaccination

Tel: 01902 883 182

Altitude sickness, also known as acute mountain sickness (AMS), is a condition that occurs when the body struggles to adjust to the reduced oxygen levels and lower air pressure found at high elevations, typically above 2,500 metres. When ascending too quickly, the body doesn’t have enough time to acclimatise, leading to a range of physiological responses. Altitude sickness can affect anyone, regardless of age, fitness level, or experience with high altitudes, though some individuals may be more susceptible than others. The condition is most common among travellers visiting mountainous regions, such as the Alps, Andes, Himalayas, or the Rockies, and can be particularly dangerous if left untreated or ignored.

The symptoms of altitude sickness usually begin within 6 to 24 hours after reaching a higher elevation and can vary in intensity. Common early signs include headaches, nausea, dizziness, fatigue, loss of appetite, and trouble sleeping. Some individuals may experience shortness of breath on exertion, swelling of the hands, feet, or face, and a general feeling of malaise. In more severe cases, it can progress to high altitude pulmonary oedema (HAPE) or high altitude cerebral oedema (HACE), both of which are medical emergencies. HAPE involves fluid build-up in the lungs and may present as a persistent cough, breathlessness at rest, and chest tightness, while HACE affects the brain and can cause confusion, clumsiness, hallucinations, and even loss of consciousness.

Treating altitude sickness involves both prevention and response. The most effective preventive strategy is gradual ascent, allowing time for the body to adjust—ideally no more than 300 to 500 metres of elevation gain per day once above 2,500 metres, with a rest day every 3 to 4 days. If symptoms do occur, the primary treatment is to stop ascending and rest at the current altitude until symptoms improve. In mild cases, over-the-counter painkillers such as paracetamol or ibuprofen can help manage headaches, while anti-sickness tablets like promethazine may ease nausea. If symptoms worsen or do not improve after 24 to 48 hours, descent to a lower altitude is necessary. Acetazolamide (Diamox) may be prescribed to speed up acclimatisation and is sometimes used prophylactically. While it’s generally safe for adults, its use in children should be guided by a healthcare professional, typically avoided under the age of 12 unless recommended by a specialist. Oxygen therapy and portable hyperbaric chambers are used in more severe or remote cases.

Most treatments for altitude sickness are well tolerated, but side effects can occur. Acetazolamide, for instance, may cause tingling sensations in the fingers or toes, increased urination, altered taste (especially for carbonated drinks), and occasionally gastrointestinal upset. Some users report fatigue or allergic reactions, although serious side effects are rare. Anti-nausea medications like promethazine can lead to drowsiness, dry mouth, and dizziness. Pain relievers such as ibuprofen and paracetamol carry their usual risks, including gastrointestinal irritation and, in rare cases, liver or kidney complications if misused. It’s important to consult a medical professional before taking any medication, especially at altitude, where symptoms can escalate quickly. In children and vulnerable populations, treatment should be approached with particular care to avoid adverse reactions.

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